Saint Louis Park, MN

The Villas At The Park

2-star overall rating with 2-star inspections with $105,301 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

4415 West 36 1/2 Street, Saint Louis Park, MN

(952) 927-9717

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Monarch Healthcare Management

Operator or chain grouping

Approved since

1979-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

45 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.39

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.15

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.23

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.09

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.81

CMS adjusted RN staffing hours

Adjusted total hours

3.80

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,600

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.12

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.9

Baseline 55.81% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0

Adjusted total nurse staffing

2.32

Baseline 3.41 hours · Performance 3.74 hours · Measure score 2.32 · Achievement 2.32 · Improvement 0.90

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.75%	10.72% About the same	No Different than the National Rate · Eligible stays 39 · Observed rate 10.26% · Lower 95% interval 7.23%
Discharge to community	46.16%	50.57% 4.4 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 35.48% · Lower 95% interval 31.51%
Medicare spending per beneficiary	0.85	1.02 0.2 pts better
Drug regimen review with follow-up	75%	95.27% 20.3 pts worse	Numerator 15 · Denominator 20
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	14.06%	8.2% 5.9 pts better	Numerator 9 · Denominator 64
Staff flu vaccination coverage	32.93%	42% 9.1 pts worse	Numerator 27 · Denominator 82
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.3%	97.3% 4 pts worse	93.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 90.5% · Q3 97.5% · Q4 97.6% · 4Q avg 93.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	85.4%	96.1% 10.7 pts worse	95.5% 10.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 85.4%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.9% 1.5 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 7.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.0%	4.3% 4.7 pts worse	11.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 5.7% · Q3 5.4% · Q4 13.9% · 4Q avg 9.0%
Percentage of long-stay residents who lose too much weight	6.4%	4.1% 2.3 pts worse	5.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 9.1% · Q3 9.1% · Q4 5.3% · 4Q avg 6.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.7%	12.4% 3.3 pts worse	19.6% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 15.2% · Q3 21.2% · Q4 18.4% · 4Q avg 15.7%
Percentage of long-stay residents who received an antipsychotic medication	17.2%	17.5% 0.3 pts better	16.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 15.4% · Q3 13.0% · Q4 24.0% · 4Q avg 17.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.5%	22.5% 12 pts better	16.3% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.4%	18.6% 11.2 pts better	14.9% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 9.1% · Q3 3.1% · Q4 5.6% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	2.3% 2.3 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.2%	2.6% 1.6 pts worse	1.7% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 0.0% · Q3 0.0% · Q4 4.8% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.1%	24.8% 4.7 pts better	19.8% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.0% · Q2 16.4% · Q3 2.8% · Q4 21.7% · 4Q avg 20.1%
Percentage of long-stay residents with pressure ulcers	5.8%	5.4% 0.4 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.4% · Q3 8.9% · Q4 4.8% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	62.6%	88.6% 26 pts worse	81.7% 19.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 59.5% · Q2 53.3% · Q3 64.8% · Q4 73.7% · 4Q avg 62.6%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	52.2%	82.7% 30.5 pts worse	79.7% 27.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 52.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-10-24 · Fire 2024-10-24

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-11-09 · Fire 2023-11-09

14 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-11-20

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-23

F · Potential for more than minimal harm 2024-10-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-20

E · Potential for more than minimal harm 2024-10-24

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-20

F · Potential for more than minimal harm 2023-11-09

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2024-01-09

F · Potential for more than minimal harm 2023-11-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-11-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-11-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-09

C · Minimal harm 2023-11-09

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-01-09

Inspection history

Recent health citations

G · Actual harm 2025-11-20

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-12-23

E · Potential for more than minimal harm 2025-11-20

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

F811 · Nutrition and Dietary Deficiencies

Health

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Corrected 2025-12-23

D · Potential for more than minimal harm 2025-11-20

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-12-23

G · Actual harm 2024-10-24

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-10-24

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2024-11-20

E · Potential for more than minimal harm 2023-11-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-11-09